| Frederick Daniels,dds,family Dentistry,llc | |
|
12 Goose Ln Tolland CT 06084-3400 | |
| (860) 875-6269 | |
| (860) 870-5606 |
| Full Name | Frederick Daniels,dds,family Dentistry,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 Goose Ln, Tolland, Connecticut |
| Authorized Official Name and Position | Frederick Daniels (DENTIST) |
| Authorized Official Contact | 8608756269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Daniels,dds,family Dentistry,llc 12 Goose Ln Tolland CT 06084-3400 Ph: (860) 875-6269 | Frederick Daniels,dds,family Dentistry,llc 12 Goose Ln Tolland CT 06084-3400 Ph: (860) 875-6269 |
| NPI Number | 1881099802 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 09/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881099802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 005030 (Connecticut) | Primary |
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Tolland Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Goose Ln, Tolland, CT 06084 Phone: 860-875-6269 |